Why the study?
The study was conducted to assess the relationship between atrial fibrillation and gastroesophageal reflux disease, including potential mechanisms, shared risk factors, and treatment challenges.
What is the relationship between atrial fibrillation and gastroesophageal reflux disease, and what are the implications for treatment?
What is the relationship between atrial fibrillation and gastroesophageal reflux disease, and what are the implications for treatment?
The management of patients with concurrent AF and GERD is complex, as AF ablation may worsen GERD and PPIs have conflicting evidence regarding arrhythmogenic effects.
The article is devoted to assessing the relationship of atrial fibrillation (AF) and gastroesophageal reflux disease (GERD). We studied possible anatomical correlations, common risk factors and mechanisms of AF development in patients with gastroesophageal reflux. We demonstrated the problems of the treatment of such patients, since a number of studies have proved the possibility of using proton pump inhibitors in the treatment of AF. In other cases the arrhythmogenic effect of these drugs was obtained. Treatment of AF by catheter ablation most commonly worsens the course of GORD and can lead to the development of fatal complications. Large-scale prospective researches are needed for further detailed study of AF and GERD associations, as well as tactics for management of these patients.
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Антропова et al. (2019) studied this question.
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